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The intent of this application is to provide information in addition to the plans regarding the operational procedures of the facility.
The Governing the Sanitation of Food Service Establishments (15A NCAC 18A .2600) require that plans be submitted for approval prior to construction. Plans must be submitted with the necessary paperwork (see following checklist) to the Richmond County Health Department.
This Limited Food Service Establishment (LFSE) permit application must be submitted no later than 30 days prior to construction or commencing operation. All LFSE permits shall expire on December 31st of each year.
Upload Establishment Plans
8 am to 5 pm
All food and beverages must be prepared on-site or in a locally approved in-state kitchen (not a domestic kitchen). Provide the name and address of the advance preparation facility and the dates and times it will be used. Also provide the name and phone number of the person authorizing your use of the facility.
I certify the information in this application is complete and accurate. I understand the RCHD (Richmond County Health Department) does not provide verbal approval of plans or for deviation from approved plans, and that any deviation from the plans and procedures in this application without prior written permission from the RCHD may nullify final approval and result in my not obtaining a permit, or having the permit suspended or revoked after it is issued.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
If applicable, list potentially hazardous food items (i.e. meat, fish, shellfish, poultry, eggs, milk, and diary products), indicate whether they will have advance preparation, and indicate the provided processing methods.
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